Psychoneuroendocrinology (2014) 49, 34—46
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Impact of menstrual cycle phase on
endocrine effects of partial sleep
restriction in healthy women
Amanda LeRoux
a
, Lisa Wright
a
, Tara Perrot
a
,
Benjamin Rusak
a,b,c,*
a
Department of Psychology & Neuroscience, Dalhousie University, Halifax, Nova Scotia, Canada
b
Department of Psychiatry, Dalhousie University, Halifax, Nova Scotia, Canada
c
Department of Pharmacology, Dalhousie University, Halifax, Nova Scotia, Canada
Received 24 January 2014; received in revised form 5 June 2014; accepted 5 June 2014
KEYWORDS
Menstrual cycle;
Hunger;
Metabolism;
Sleep;
Mood;
Cortisol;
Circadian rhythm
Summary There is extensive evidence that sleep restriction alters endocrine function in
healthy young men, increasing afternoon cortisol levels and modifying levels of other hormones
that regulate metabolism. Recent studies have confirmed these effects in young women, but
have not investigated whether menstrual cycle phase influences these responses. The effects
on cortisol levels of limiting sleep to 3 h for one night were assessed in two groups of women
at different points in their menstrual cycles: mid-follicular and mid-luteal. Eighteen healthy,
young women, not taking oral contraceptives (age: 21.8 ± 0.53; BMI: 22.5 ± 0.58 [mean ± SEM]),
were studied. Baseline sleep durations, eating habits and menstrual cycles were monitored.
Salivary samples were collected at six times of day (08:00, 08:30, 11:00, 14:00, 17:00, 20:00)
during two consecutive days: first after a 10 h overnight sleep opportunity (Baseline) and then
after a night with a 3 h sleep opportunity (Post-sleep restriction). All were awakened at the
same time of day. Women in the follicular phase showed a significant decrease (p = 0.004) in
their cortisol awakening responses (CAR) after sleep restriction and a sustained elevation in
afternoon/evening cortisol levels (p = 0.008), as has been reported for men. Women in the
luteal phase showed neither a depressed CAR, nor an increase in afternoon/evening cortisol
levels. Secondary analyses examined the impact of sleep restriction on self-reported hunger
and mood. Menstrual cycle phase dramatically altered the cortisol responses of healthy, young
women to a single night of sleep restriction, implicating effects of spontaneous changes in
endocrine status on adrenal responses to sleep loss.
© 2014 Elsevier Ltd. All rights reserved.
∗
Corresponding author at: Department of Psychiatry, Dalhousie University, 8215 Lane Bldg., 5909 Veterans Memorial Lane, Halifax, Nova
Scotia, Canada B3L 2E2. Tel.: +1 902 473 2433; fax: +1 902 473 4596.
E-mail address: benjamin.rusak@dal.ca (B. Rusak).
http://dx.doi.org/10.1016/j.psyneuen.2014.06.002
0306-4530/© 2014 Elsevier Ltd. All rights reserved.